The combination of EPA+DHA and low-dose aspirin ingestion reduces platelet function acutely whereas each alone may not in healthy humans

Abstract Introduction Aspirin's effectiveness in reducing cardiovascular disease events is inadequate in some individuals, a phenomenon termed aspirin “resistance”. The hypothesis that combining low dose aspirin with eicosapentaenoic acid and docosahexaenoic acid (EPA+DHA) reduces platelet func...

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Veröffentlicht in:Prostaglandins, leukotrienes and essential fatty acids leukotrienes and essential fatty acids, 2012-10, Vol.87 (4), p.143-151
Hauptverfasser: Block, Robert C, Kakinami, Lisa, Jonovich, Matthew, Antonetti, Illena, Lawrence, Peter, Meednu, Nida, CalderonArtero, Pedro, Mousa, Shaker A, Thomas Brenna, J, Georas, Steve
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container_issue 4
container_start_page 143
container_title Prostaglandins, leukotrienes and essential fatty acids
container_volume 87
creator Block, Robert C
Kakinami, Lisa
Jonovich, Matthew
Antonetti, Illena
Lawrence, Peter
Meednu, Nida
CalderonArtero, Pedro
Mousa, Shaker A
Thomas Brenna, J
Georas, Steve
description Abstract Introduction Aspirin's effectiveness in reducing cardiovascular disease events is inadequate in some individuals, a phenomenon termed aspirin “resistance”. The hypothesis that combining low dose aspirin with eicosapentaenoic acid and docosahexaenoic acid (EPA+DHA) reduces platelet function in the acute setting has not been investigated. Patients and methods We conducted a clinical trial of EPA+DHA and aspirin ingestion in healthy adults. Fasting blood samples were drawn at baseline and 4 h after supplementation with EPA/DHA (3.4 g/d), aspirin (81 mg), and both. Platelet function was measured using the Platelet Function Analyzer-100 (PFA-100). Plasma lysophosphatidylcholine (LPC), lysophosphatidic acid (LPA), autotaxin, angiogenesis activators, and cytokines were measured. Results Platelet function decreased with the combination of aspirin+EPA/DHA ( p =0.03) but not with either alone ( p >0.05). EPA-LPC increased ( p =0.002). Discussion and conclusions Our results demonstrate that a potentially beneficial effect on platelet function occurred within 4 h after ingestion of low-dose aspirin and EPA+DHA in healthy adults.
doi_str_mv 10.1016/j.plefa.2012.08.007
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The hypothesis that combining low dose aspirin with eicosapentaenoic acid and docosahexaenoic acid (EPA+DHA) reduces platelet function in the acute setting has not been investigated. Patients and methods We conducted a clinical trial of EPA+DHA and aspirin ingestion in healthy adults. Fasting blood samples were drawn at baseline and 4 h after supplementation with EPA/DHA (3.4 g/d), aspirin (81 mg), and both. Platelet function was measured using the Platelet Function Analyzer-100 (PFA-100). Plasma lysophosphatidylcholine (LPC), lysophosphatidic acid (LPA), autotaxin, angiogenesis activators, and cytokines were measured. Results Platelet function decreased with the combination of aspirin+EPA/DHA ( p =0.03) but not with either alone ( p &gt;0.05). EPA-LPC increased ( p =0.002). Discussion and conclusions Our results demonstrate that a potentially beneficial effect on platelet function occurred within 4 h after ingestion of low-dose aspirin and EPA+DHA in healthy adults.</description><identifier>ISSN: 0952-3278</identifier><identifier>EISSN: 1532-2823</identifier><identifier>DOI: 10.1016/j.plefa.2012.08.007</identifier><identifier>PMID: 23017325</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Acetylsalicylic acid ; Advanced Basic Science ; Aspirin ; Aspirin - administration &amp; dosage ; Aspirin - pharmacology ; Blood Platelets - drug effects ; Docosahexaenoic acid ; Docosahexaenoic Acids - administration &amp; dosage ; Docosahexaenoic Acids - pharmacology ; Drug Combinations ; Eicosapentaenoic acid ; Eicosapentaenoic Acid - administration &amp; dosage ; Eicosapentaenoic Acid - pharmacology ; Endocrinology &amp; Metabolism ; Humans ; Omega-3 fatty acids ; Platelet function ; Platelet function analyzer-100 ; Platelet Function Tests</subject><ispartof>Prostaglandins, leukotrienes and essential fatty acids, 2012-10, Vol.87 (4), p.143-151</ispartof><rights>Elsevier Ltd</rights><rights>2012 Elsevier Ltd</rights><rights>Copyright © 2012 Elsevier Ltd. 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The hypothesis that combining low dose aspirin with eicosapentaenoic acid and docosahexaenoic acid (EPA+DHA) reduces platelet function in the acute setting has not been investigated. Patients and methods We conducted a clinical trial of EPA+DHA and aspirin ingestion in healthy adults. Fasting blood samples were drawn at baseline and 4 h after supplementation with EPA/DHA (3.4 g/d), aspirin (81 mg), and both. Platelet function was measured using the Platelet Function Analyzer-100 (PFA-100). Plasma lysophosphatidylcholine (LPC), lysophosphatidic acid (LPA), autotaxin, angiogenesis activators, and cytokines were measured. Results Platelet function decreased with the combination of aspirin+EPA/DHA ( p =0.03) but not with either alone ( p &gt;0.05). EPA-LPC increased ( p =0.002). Discussion and conclusions Our results demonstrate that a potentially beneficial effect on platelet function occurred within 4 h after ingestion of low-dose aspirin and EPA+DHA in healthy adults.</description><subject>Acetylsalicylic acid</subject><subject>Advanced Basic Science</subject><subject>Aspirin</subject><subject>Aspirin - administration &amp; dosage</subject><subject>Aspirin - pharmacology</subject><subject>Blood Platelets - drug effects</subject><subject>Docosahexaenoic acid</subject><subject>Docosahexaenoic Acids - administration &amp; dosage</subject><subject>Docosahexaenoic Acids - pharmacology</subject><subject>Drug Combinations</subject><subject>Eicosapentaenoic acid</subject><subject>Eicosapentaenoic Acid - administration &amp; dosage</subject><subject>Eicosapentaenoic Acid - pharmacology</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Humans</subject><subject>Omega-3 fatty acids</subject><subject>Platelet function</subject><subject>Platelet function analyzer-100</subject><subject>Platelet Function Tests</subject><issn>0952-3278</issn><issn>1532-2823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUl1rFDEUHUSxa_UXCJJHQWbNx8zs5MHCUqsVCgrW53A3udPJmknWZKZl_oE_2-xuLeqLT4Hc83E55xbFS0aXjLLm7Xa5c9jBklPGl7RdUrp6VCxYLXjJWy4eFwsqa14KvmpPimcpbSmlnLHqaXHCBWUrwetF8fO6R6LDsLEeRhs8CR25-LJ-8_5yTcAb4sJdaUJCAmlno_XE-htMB2REM2lMZOdgRIcj6SavDxPQU_6ZyV2PESERBN0TcMEjGWAmPoxZhvQIbuxn0k8D-PS8eNKBS_ji_j0tvn24uD6_LK8-f_x0vr4qdcXlqtyIpt0I1oA2qLU2ArikXWcqKWvksqE1VtSIhm6QG1p3dcOrbF9VwKSRohWnxdlRdzdtBjQa_RjBqV20A8RZBbDq74m3vboJt0rUrWRCZoHX9wIx_JhyFmqwSaNz4DFMSbGceiM4402GiiNUx5BSxO7BhlG171Bt1aFDte9Q0VblDjPr1Z8bPnB-l5YB744AzDndWowqaYteo7ER9ahMsP8xOPuHr531VoP7jjOmbZiizxUoplLmqK_7M9pfEeOUskpW4he-tMX9</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Block, Robert C</creator><creator>Kakinami, Lisa</creator><creator>Jonovich, Matthew</creator><creator>Antonetti, Illena</creator><creator>Lawrence, Peter</creator><creator>Meednu, Nida</creator><creator>CalderonArtero, Pedro</creator><creator>Mousa, Shaker A</creator><creator>Thomas Brenna, J</creator><creator>Georas, Steve</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201210</creationdate><title>The combination of EPA+DHA and low-dose aspirin ingestion reduces platelet function acutely whereas each alone may not in healthy humans</title><author>Block, Robert C ; 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The hypothesis that combining low dose aspirin with eicosapentaenoic acid and docosahexaenoic acid (EPA+DHA) reduces platelet function in the acute setting has not been investigated. Patients and methods We conducted a clinical trial of EPA+DHA and aspirin ingestion in healthy adults. Fasting blood samples were drawn at baseline and 4 h after supplementation with EPA/DHA (3.4 g/d), aspirin (81 mg), and both. Platelet function was measured using the Platelet Function Analyzer-100 (PFA-100). Plasma lysophosphatidylcholine (LPC), lysophosphatidic acid (LPA), autotaxin, angiogenesis activators, and cytokines were measured. Results Platelet function decreased with the combination of aspirin+EPA/DHA ( p =0.03) but not with either alone ( p &gt;0.05). EPA-LPC increased ( p =0.002). 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subjects Acetylsalicylic acid
Advanced Basic Science
Aspirin
Aspirin - administration & dosage
Aspirin - pharmacology
Blood Platelets - drug effects
Docosahexaenoic acid
Docosahexaenoic Acids - administration & dosage
Docosahexaenoic Acids - pharmacology
Drug Combinations
Eicosapentaenoic acid
Eicosapentaenoic Acid - administration & dosage
Eicosapentaenoic Acid - pharmacology
Endocrinology & Metabolism
Humans
Omega-3 fatty acids
Platelet function
Platelet function analyzer-100
Platelet Function Tests
title The combination of EPA+DHA and low-dose aspirin ingestion reduces platelet function acutely whereas each alone may not in healthy humans
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